Assessing cost-effectiveness in obesity: laparoscopic adjustable gastric banding for severely obese adolescents

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
Jaithri AnanthapavanRobert Carter

Abstract

To assess, from a societal perspective, the incremental cost-effectiveness of laparoscopic adjustable gastric banding for severely obese adolescents in Australia. The intervention, modeled as a part of the Assessing Cost-Effectiveness in Obesity project, used evidence of the effectiveness and costs from a case series of 28 adolescents who had undergone gastric banding in Melbourne and extrapolated the data to the eligible Australian adolescent population. The cost offsets and disability-adjusted life year benefits (determined by the change in body mass index at 3 years after surgery) were tracked until the cohort had reached the age of 100 years or death and were discounted at 3% per annum. Simulation-modeling techniques were used to present a 95% uncertainty interval (UI) around the cost-effectiveness ratio. The intervention was also assessed against second-stage filter criteria ("equity," "strength of evidence," "acceptability," "feasibility," "sustainability," and "side effects"). The intervention reached 4120 severely obese, privately insured adolescents. It cost AUD130M (95% UI 52-265) and resulted in an incremental savings of 55,400 body mass index units (95% UI 12,600-140,000) at 3 years after surgery, which translated i...Continue Reading

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Citations

Apr 17, 2014·International Journal of Environmental Research and Public Health·Jaithri AnanthapavanRob Carter
May 7, 2011·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·H-H KönigA Konnopka
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Nov 5, 2013·Best Practice & Research. Clinical Gastroenterology·Bruce C M Wang, Wesley Furnback
Jul 8, 2016·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·J A CampbellA J Palmer

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